Jefferson, Jeffrey Lawrence
Jefferson, Jeffrey Lawrence is an individual health care provider with primary practice located at 2802 Garth Rd Ste 109 , Baytown TX 77521-3924. He recently has 5 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Jefferson, Jeffrey Lawrence can be contacted via phone (832) 556-7750.Contact Information
Primary practice address
2802 Garth Rd Ste 109
Baytown TX 77521-3924
Phone: (832) 556-7750
Fax: (832) 556-0841
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1083657 | Texas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics | 2251G0304X | 1083657 | Texas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 2251H1200X | 1083657 | Texas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | 1083657 | Texas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 1083657 | Texas |
Profile Details
| NPI number | 1942350129 |
|---|---|
| LBN Legal business name | Jefferson, Jeffrey Lawrence |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942350129 | NPPES |
| Texas | Other | 8T5135 | BCBS PROVIDER # |
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